Organization
AIRVIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN L LIGHT (ADMINISTRATOR/CONTROLLER)
(520) 325-9989
Entity
Organization
Contact information
Practice address
2921 E FORT LOWELL RD, SUITE 115, TUCSON, AZ 85716-1551
(520) 405-0141
(520) 514-0515
Mailing address
2921 E FORT LOWELL RD, SUITE 115, TUCSON, AZ 85716-1551
(520) 405-0141
(520) 514-0515
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1951
AZ
Other
Enumeration date
09/26/2007
Last updated
02/16/2015
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